3ERL - Conference Papers and Proceedings / Artigos e Atas de Conferências
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- Alterações climáticas na saúde humana: um estudo em Coimbra, PortugalPublication . Alves, Fátima; Wlasenko Nicolau, Karine; Vidal, Diogo GuedesOs impactos na saúde humana resultantes das alterações climáticas são uma preocupação emergente para a saúde ambiental. O estudo apresentado abordou as alterações cimáticas, em especial as ondas de calor e de frio extremo ocorridos em Portugal, região de Coimbra, nos últimos 35 anos. O estudo, conduzido pelo Centre for Functional Ecology (CFE), também considerou a condição socioeconômica da população. Objetivos Analisar impactos das alterações climáticas sobre a mortalidade humana na região de Coimbra, centro de Portugal. Metodologia O estudo reuniu informações do NatCatSERVICE Database dos últimos 35 anos (1982-2017) relacionados às ondas de calor e de frio extremos na região de Coimbra, Portugal, associando-as à saúde humana. Para tanto, avaliou a relação entre temperaturas diárias, excesso de mortalidade e condição socioeconômica da população, adotando um índice de privação baseado na distribuição populacional, oferta de serviços de saúde, condições de moradia e características socioeconômicas individuais. Resultados Os resultados informam que o risco de mortalidade aumenta com a intensidade ou maior duração das ondas de calor ou de frio extremo; que são exacerbadas em ambientes urbanos pelo chamado efeito ilha de calor urbano, por exemplo, no caso das ondas de calor, afetando especialmente grupos vulnerabilizados, como idosos(as). O aumento da mortalidade e morbidade aumenta com a idade. No entanto, as condições de vida, as privações socioeconômicas e as desigualdades no acesso aos serviços de saude interferem decisivamente nos desfechos apresentados, em particular a aclimatação. Conclusões/Considerações As alterações climáticas apresentam-se como questões inadiáveis de saúde pública e exigem atenção a grupos vulnerabilizados, como idosos(as). Contudo, trata-se de fomentar mudanças que vão além dos serviços de saúde, envolvendo mudanças estruturais no meio urbano e nas relações ecológicas estabelecidas com o próprio planeta, a fim de, ao menos, minimizar seus efeitos deletérios, por meio de ações locais, em um cenário de alterações globais.
- Person-centred care-based crisis management: facing COVID-19 in an oil industryPublication . Rodrigues, Mariana Costa; da Silva, Vanessa Uchoa de Assis Martins; Albuquerque, Rafael Amaral; Dinis, Maria Alzira Pimenta; Viterbo, Lilian Monteiro FerrariThe study aims to present the strategies used in person-centred care, through measures to promote and prevent COVID-19 pandemic in an oil industry in Brazil. The corporate focus is on managing the crisis, converging economic interests, operational security, health and protection of individuals.In March 2020, a ‘Crisis Room’ was structured, based on the Incident Command System (ICS) methodology for managing interventions in the company, covering about 160 000 workers and 1000 health professionals, including physicians, nurses, psychologists, social workers and nutritionists. The main strategies were: production of technical notes on COVID 19, development of software for monitoring cases, call-centre through a specialized centre with medical and psychological support, test implementation, implementation of sanitary barriers with temperature verification and filling of forms, as well as systematic technical forums.In the period of 1 year, 46 technical notes were produced, 61 388 cases were recorded and monitored, 30 373 gold standard tests (RT PCR), 484 686 rapid tests, 25 217 workers approached at health barriers and an average of 350 systematic technical forums, were carried out.Attention to the presented scenario and the mapping of the particularities in the emergency response are fundamental for decision-making, which can be impacted by the absence of strategies still in the reactive phase of the emergency. Despite the adoption of the ICS methodology in the management of the COVID-19 crisis, the incorporation of instruments aimed at individual-centred care were key strategies and foundations that have guaranteed work safety and the maintenance of productivity in this oil company within pandemic context.
- Telemedicine applied to offshore medical emergencies: impacts on a Brazilian oil industryPublication . Martins, Douglas de Almeida; Menezes, Ana Carolina Braga; Silva, Vanessa Uchoa de Assis Martins da; Costa, André Santana; Dinis, Maria Alzira Pimenta; Viterbo, Lilian Monteiro FerrariThe study aims to analyse the impact of the use of advanced telemedicine resources in the management of medical emergencies on offshore oil platforms of a major Brazilian operator during the period 2018–2019.38 maritime platforms were analysed, totalling a sample of 5992 workers. Exploratory data analysis, adherence test to normal distribution (Ryan-Joiner normality test) and linear correlation test (Spearman’s rho) were used to characterize the data. 5 groups were defined, 1 offshore platform with advanced telemedicine resources (reference group) and 4 platforms without this support. Each group had data on the monthly amount of disembarkation due to health reasons, in 2018 and 2019, through common flights (1087 and 1207) and aeromedical evacuations (68 and 126), respectively. Finally, hypothesis testing was carried out for two independent samples, to compare the average landings of the reference group with the other groups.The reference group presented average landings for common flights lower than those of the other groups in 2018. In 2019, presented average landings for common flights lower than those of three groups and statistically equal to that of a group. In 2018 and 2019, the reference group presented statistically equal averages (P-value > α = 0.05) of landings due to aeromedical evacuations.Despite the possibility of other contributing factors, such as health management of each group and operation time of the platforms, this study allows us to conclude that, in 2018 and 2019, the group of maritime platforms with advanced telemedicine resources obtained, in general, lower average landings due to health reasons.
- Suicide postvention in the oil industry: innovation in mental health and care with life in the world of workPublication . Paiva, Adrianna Helena Tavares Lobato de; Miliosi, Ariana Ribeiro; Dinis, Maria Alzira Pimenta; Viterbo, Lilian Monteiro FerrariWithin the oil industry work process, risk, technology, confinement and changes in sociability are implied, variables for mental health actions, complexed in the psychosocial coping of the COVID-19 pandemic, involving workers and their families. Attempts or death by suicide, challenge mental health actions, require specialized practices within organizations. This study aims to describe an innovative initiative in occupational health in the oil industry in Brazil, addressing Suicide Postvention in the Workplace.Using an epistemological basis of ‘working with groups’; ‘psychology in emergencies and disasters’; ‘mourning elaboration’, an attempt was made to systematize the specialized intervention in mental health within suicide assistance, workplace adapted. It relates an intervention-action in 5 occurrences during the year 2020, with the participation of an interdisciplinary health team including social workers, psychologists, physicians and nurses. Individual care, group approaches, leaders’ advice and family members’ support, was provided.An average of 20 individual consultations were carried out for each occurrence, 7 interventions with groups. In 4 of the cases, direct approaches from the interdisciplinary team with family members were necessary. The implantation allowed to structure the intervention in suicide emergencies; methodological legitimation; ensuring innovation in emergency mental health practice; prevention of contagious suicide; monitoring of critical cases; and continuity of support in mental health through internal and external network.The results of the study will serve as input for the construction of a specialized intervention protocol for suicide postvention, constituting an innovation in the care and prevention of mental health problems for oil workers and their families.
- Occupational health resource classification instrument (OHRCI) in the oil industry, BrazilPublication . Albuquerque, Rafael Amaral; Carvalho, Marcelo Barbosa; Dinis, Maria Alzira Pimenta; Viterbo, Lilian Monteiro FerrariThe study describes the development of the Occupational Health Resource Classification Instrument (OHRCI) aiming to classify the levels of occupational health care in the oil industry, Brazil, considering the aspects of prevention and health promotion.OHRCI was developed by 6 recognized experts in occupational health management with at least 10 years of experience. For content validation, the Delphi Technique was used, with 20 specialists from the fields of medicine, dentistry, social work, nutrition and psychology participating in 40 meetings with an average duration of 2 hours each. All proposed adjustment recommendations were incorporated and accepted.OHCRI tool was structured. It considers the characteristics of the oil companies regarding the assessment of risk scenarios, location and exposed population, resulting in a score between 1 and 16. Nine levels of occupational health care were defined, which allows to objectively consider the dimension of the workforce and attendance modality. The results of OHCRI tool allow specific strategic actions in people management, related to the monitoring of work processes and adaptation of professional skills.The proposed tool is considered validated and its application generates business value, ensuring the maintenance of resources for comprehensive health care and attendance level adequate to the needs of the oil industry and workers and associated compliance aspects.
- The impact of lack of affection and poor social ties in the nurses work environment: evidence from a Portuguese samplePublication . Ferreira, Margarida; Vidal, Diogo Guedes; Ferreira, Carlos; Gregório, SusanaSignificant evidence has pointed out the positive impact of caring with love. Nurses are the healthcare professionals whose love gives a self–sacrificing spirit. However, little is still know about how lack of affection and unhealthy social ties affects Nurses in the work environment. This study sought to explore the association between affection, social ties and work environment.
- Stay close to urban green spaces: current evidence on cultural ecosystem services provisionPublication . Vidal, Diogo Guedes; Patoilo Teixeira, Catarina; Dias, Ricardo; Fernandes, Cláudia; Filho, Walter Leal; Barros, Nelson; Maia, Rui LeandroResearch suggests that access to urban green spaces (UGS) is crucial to support public and environmental health through ecosystem services (ES) provision. However, Cultural ecosystem services (CES), due to their connections to human emotion, a deep meaning, fulfilment, and motivation, have been less studied. CES provision in UGS are central to well-being, contributing to improving mental and physical health outcomes, as well as enhancing social cohesion. Accordingly, this systematic review aims to contribute to a better understanding of CES provision by UGS.
- Identification of nurse work safety measures used in emergency service during pandemic in the state of Goiás, BrazilPublication . Faria, Everson; Arão, Isabelle; Simões, Helder; Vidal, Diogo GuedesDue to the Nurses performance in the front line to combat COVID-19 pandemic in Brazil, the exposure of these healthcare professionals has become a health and safety problem in the professional sphere. The objective of the present work was to identify the existing safety measures to protect the nursing team in the Health System.
- Association between psychosocial risks and performance of radiology technicians in emergency context: outcomes of a cross-section studyPublication . Paiva, Inês; Simões, Helder; Matos, Paulo; Duarte, Elisabete; Figueiredo, João Paulo; Vidal, Diogo Guedes; Tavares, ÓscarThe workers' demand, the introduction of new technologies and the increase in working hours are some of the main factors that result in the emergence of psychosocial risks. These risks compromise workers mental and physical health, and the well-being, leading to consequences not only at the individual level but also at the organizational level. This work aims to determine the capacity of the radiology technicians to work, the psychosocial risks to which they may be exposed, as well as the possible influence of these on their professional performance.
- Sistematização da Assistência em Saúde do Trabalhador (SAST): uma proposta de gestão inovadoraPublication . Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Costa, André; Dinis, Maria Alzira PimentaA Sistematização da Assistência em Saúde do Trabalhador (SAST) tem como principal objetivo a sistematização articulada, intersetorial e interdisciplinar na saúde do trabalhador a partir de uma metodologia adequada à produção do cuidado integral e integrado. A SAST pressupõe a organização das condições necessárias à realização do processo de cuidado centrado na pessoa, no que diz respeito ao método, ao pessoal e aos instrumentos. O termo “processo” possibilita identificar, compreender, descrever, explicar e/ou prever as necessidades da pessoa, família ou coletividade humana, em um dado momento do processo saúde e doença, demandando o cuidado profissional dos especialistas em saúde do trabalhador. Este modelo pressupõe um conjunto de ações, por meio de um determinado modo de fazer, regulado por um modo de pensar, ou seja, por uma concepção da saúde do trabalhador, de sua origem e de sua potencialidade de transformar-se ou de ser transformado. A potencialidade dessa articulação sistematizada é baseada na intervenção intersetorial e interdisciplinar, como ação para transformação do trabalho no sentido da promoção da saúde, sendo ampla e se constituindo em um embrião de transformação no modelo teórico-prático em saúde do trabalhador (MINAYO-GOMEZ; MARIA; THEDIM-COSTA, 1997). Este trabalho objetiva apresentar um modelo de gestão em saúde do trabalhador capaz de integrar a abordagem interdisciplinar e sistematizar a assistência em saúde de forma a tornar possível a hiearquização do investimento de recursos.
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